July 2019

July 2019

The Office: Irritable Bowel Syndrome

  • High, pounding and convex Left and Right Guan
    • Mostly stomach issue
      • Stomach fire
    • He Zi – 15
    • Wu Bei Zi – 15
    • Tian Hua Fen – 15
    • Bai Wei – 15
    • Huang Lian Jie Du Tang – 20
    • Jia Wei Xiao Yao San – 20
  • Wiry and strong Right and Left Guan
    • Liver invading stomach
      • Mostly a liver problem
      • Pulse can be at any depth
    • Hu Zhang – 15
    • Huang Shui Qie – 15
    • Cha Chi Huang – 15
    • Xia Ku Cao – 15
    • Long Dan Xie Gan Tang – 20
    • Huang Lian Jie Du Tang – 20
      • Can use Gan Cao Xie Xin Tang instead for stomach pain
  • Right Yang Wei convex and pounding
    • Inflammation in large intestine
    • With stronger Left Guan
      • Hu Zhang – 15
      • Huang Shui Qie – 15
      • Cha Chi Huang – 15
      • Xia Ku Cao – 15
      • Long Dan Xie Gan Tang – 20
      • Ge Gen Huang Lian Tang – 20
    • For stronger Right Guan
      • He Zi – 15
      • Wu Bei Zi – 15
      • Tian Hua Fen – 15
      • Bai Wei – 15
      • Ge Gen Huang Lian Tang – 40
  • Right Yang Wei wiry and tight
    • Stagnation in large intestine
  • Thin, tight, weak Right Guan pulse with cold Li 10 area/elbows
    • Not as common, but happens
    • Stomach cold
    • Need to tonify the digestive system
      • An Zhong San – 20
      • Gan Cao Xie Xin Tang -20
      • Ping Wei San – 20
      • Si Jun Zi Tang – 20
      • Jia Wei Xiao Yao San – 20
  • Acupuncture
    • Anterior-Lateral and Lateral-Lateral problem
    • Li 5 and St 41
    • Li 6 & Li 10/11
    • St 38 & St 36
    • Gb 40, Gb 34, Sj 4, Sj 6
    • Can also use Pc 6/7 on both sides

The Office: How to treat COPD

  • COPD is difficult to treat
    • Inflammatory disease of lungs
    • Considered incurable by western medicine
  • Pulse
    • Convex, pounding Right Yang Wei pulse
      • Inflammatory heat condition in the lungs
      • Will have warm Ren 22
    • Thin, tight Right Yang Wei pulse
      • Cold condition in the lungs
      • These patients don’t respond well to western medical treatment
      • Will have cold Ren 22
  • Herbs
    • Warm condition
      • Di Long
      • Qing Fei Tang 
      • Mai Bian Cao
      • Ya Sha Huang
      • Lung PH
      • Ding Chuan Tang
      • Ma Xing Gan Shi Tang
    • Strong, pounding Yang Wei
      • Infection in lung
        • Wu Wei Xiao Du Yin
        • Zao Jiao
        • Herbal ABX
        • Astringents
    • Cold condition
      • Dun Suo San
      • Zhi Sou San
      • Di Long
      • Xue Fu Zhu Yu Tang
      • Jiang Can
  • Acupuncture
    • Anterior lateral
      • Li 5, li 11 on arms
      • St 41, st 36 on legs
      • Can spread the image by going up and down the limb
    • Anterior medial
      • Lu 9 Lu 5,
      • Sp 9, Sp, 5
    • Relax the diaphragm
    • Needle points on the knees and elbows
      • Lu, Sp, Li,
  • COPD takes time to heal
    • May only get 60-80% improvement
    • The patient will need to take the herbs for a least one year before you can consider discontinuing

The Office: How to Treat Gout

  • Diagnosis
    • Patient will have extremely warm hands
      • This indicates shingles, gout or autoimmune
    • Pulse will be low and pounding
    • Patient will likely have a swollen hot ankle and foot
  • Herbs
    • Anti-inflammatory strategy
      • Astringents 1 – 50
      • Clear heat – 50
  • Acupuncture
    • Treat lateral sides of ankles
    • Anterior lateral, Lateral Lateral, Posterior Lateral.
      • Avoid directly needling the affected area if their ankle is hot and swollen!
    • Needle both knees
      • Anterior lateral, Lateral Lateral, Posterior Lateral.
      • Gb 34, St 35/36, Ub 40
    • Needle other ankle if possible
      • Anterior Lateral, Lateral Lateral, posterior lateral.
    • Needle Both wrists
      • Anterior Lateral, Lateral Lateral, posterior lateral.
      • Li 5, Sj 4, Si 5